신동내 신우절석술에 관한 연구(제2보: 신동내 신우절석술의 임상적 관찰)
Studies on the Intrasinusal Pyelolithotomy: II. Clinical observation on intrasinusal pyelolithotomy
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윤종병/Yoon JB
윤진한/Yoon JH
KMID : 0358319770180030201
Abstract
Following results were obtained through comparative investigation between lumbar and posterior vertical incision in the intrasinusal pyelolithotomy on the 28 cases of renal stones.
1. There was no difference in operation time between lumbar and posterior vertical incisions for renal stones.
2. Blood loss during operation by posterior vertical incision, as compared with lumbar incision, was reduced to a half.
3. While narcotic analgesics were used postoperatively in whole cases of lumbar incision, mild narcotic analgesics were used in a few cases of posterior vertical incision. But there was no necessity of the use of narcotic analgesics in whole cases of posterior vertical incision.
4. There was no difference in the degree of postoperative urine leakage between lumbar and posterior vertical incisions for renal stones.
5.In the posterior vertical incision for renal stones, as compared with lumbar incision, postoperative ambulation day was reduced to a half and postoperative hospitalization period was also shortened to one third. Considering above mentioned results in the posterior vertical incision operative in vasion was minimal by approach into retropritoneal space without cutting muscle layers, in addition early ambulation and discharge were possible. Especially by performing intrasinusal pyelolithotomy in the state of pyelolithotomy in situ, reoperation was possible in the case of recurrence of stones. I think posterior vertical incision seems to be a reasonable method for surgical management of renal stones.
키워드
결석; 신동내신우절석술; 확대신우절석술; intrasinusal pyelolithotomy
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